Rehabilitation and Therapy Commons^™

Ultrasound Assessment Of Primary Pyomyositis In A Man With Uncontrolled Type 2 Diabetes: A Casereport, Ya-Chen Lee, Ya-Wen Tu, Wei-Ting Wu, Shao-Li Han

Rehabilitation Practice and Science

A 38-year-old man with uncontrolled type 2 diabetes mellitus complained of a mild painful swelling over the right posterior thigh that had been present for 3 days. He was initially diagnosed as having a right hamstring strain. After a 7-day treatment with non-steroidal anti-inflammatory drugs, the symptoms progressed to a prominent painful swelling over the right posterior thigh. Leukocytosis and high inflammation indices were noted. The ultrasonography of the right posterior thigh showed an ill-defined heteroechoic lesion surrounded by an irregularly thick hyperechoic and hypervascular wall in the muscle layer. The diagnosis was pyomyositis of the right biceps femoris muscle, …

Spinal Cord Injury And Diffuse Asymptomatic Pulmonary Embolism After Percutaneous Vertebroplasty: A Casereport, Yao-Jen Chen, Pei-Pi Shih, Su-Ju Tsai

Rehabilitation Practice and Science

A 30-year-old woman with a history of 9th to 11th thoracic vertebral compression fracture developed complete thoracic spinal cord injury immediately after percutaneous vertebroplasty. The patient did not have any sign of neurological recovery after two operations for spinal decompression. The postoperative chest X ray and thoracic computed tomography scan revealed diffuse asymptomatic pulmonary embolism, but the patient did not have dyspnea or chest pain.Percutaneous vertebroplasty has been generally considered a minimally invasive and effective procedure for treatment of painful compression fracture. Complications after percutaneous vertebroplasty include infection, spinal cord injury, cardiopulmonary complications and stroke. In previous literature search, there …

Radicular Pain As An Initial Presentation In Neuromyelitis Optica: A Casereport, Yen-Chou Lai, Wen-Sheng Liu, Shih-Fan Lin, Tsam-Ming Kuo, Ker-Hsiu Liao, Yen-Ting Lai

Rehabilitation Practice and Science

Neuromyelitis optica is a rare demyelinating disease. Radicular pain as the initial presentation of monophasic neuromyelitis optica has not been previously reported. We present a case of monophasic neuromyelitis optica in a 69-year-old female who suffered 1 year (from 2004/6 to 2005/5) from back pain that radiated to the lower extremities. Fifth lumbar radiculopathy was the first diagnosis. Despite treatment with laser discectomy on 2005/2/15, her pain, lower extremity weakness, and bilateral visual acuity worsened. Three weeks after surgery, she came to our hospital for help and was admitted for evaluation. The diagnosis of neuromyelitis optica was confirmed later. Prednisolone …

Early-Stage Myeloid Sarcoma Presenting As Back Pain In An Adolescent: A Casereport, Chao-Pin Yang, Shih-Chung Wang, Ta-Sen Wei, Sen-Yung Liu, Tsung-Ju Wu, Albert D. Yang

Rehabilitation Practice and Science

Myeloid sarcoma (MS) is a rare disease. MS is a malignant solid tumor resulting from the extramedullary proliferation of myeloblasts or immature myeloid cells.It is often described in association with acute myeloid leukemia (AML). In the absence of overt leukemia, MS is rarely considered in the differential diagnosis of a soft-tissue mass, and the diagnosis of MS is usually delayed or misdiagnosed. We present the case of a female adolescent who initially complained of back pain. Conservative treatment including medication and rehabilitation was given to her, but in vain, and the symptoms gradually progressed to severe neurological function loss, including …

Perceptions Of Athletic Training Services At Ncaa Division Ii And Naia Institutions, Lawrence Antwan Reynolds

Student Theses and Dissertations

The purpose of this study was to evaluate satisfaction levels between injured collegiate student-athletes, their athletic trainers, and the services they provide during rehabilitation of musculoskeletal injuries. A secondary purpose was to determine the effect demographics and patient variables have on patient satisfaction within athletic environments. Exactly 82 collegiate student athletes competing in NAIA and NCAA Division II athletics completed an online survey used to assess levels of patient satisfaction with athletic trainers and athletic training. The findings of the study revealed that collegiate student-athletes attitudes towards athletic trainers and the services they provide were favorable across six components of …

Incorporating Kettlebells Into A Lower Extremity Sports Rehabilitation Program, Jason Brumitt, Hui En Gilpin, Merideth Brunette, Erik P. Meira

Faculty Publications - College of Physical Therapy

The primary goal of a sports rehabilitation program is to return the injured athlete back to competition as quickly and as safely as possible. Sports physical therapists utilize a variety of exercise equipment to help an athlete restore function after an injury. An injured athlete’s therapeutic exercise program frequently includes the prescription of functional strengthening and power exercises during the later stages of rehabilitation. One piece of exercise equipment, the kettlebell, has gained popularity for its ability to allow the user to perform functional power exercises. The unique exercises that can be performed with kettlebells may have utility in sports …

Development Of Software To Estimate Pressures On The Residual Limbs Of Amputees By Means Of A Pylon Mounted Transducer, Malli K. Yalamanchili

UNLV Theses, Dissertations, Professional Papers, and Capstones

The alignment of prosthesis has been recognized as one of the main factors that determine successful prosthetic outcomes for trans-tibial amputees. Alignment is defined as the relative position and orientation of the prosthetic components. Misalignment can result in changes in the position and orientation of the joints of the leg and moments experienced by them during gait, increases in energy use, and discomfort or even tissue breakdown at the socket/stump interface. Hence it is very important to align the prosthesis in correct manner. Gait analysis can be used to examine the effects of incorrect alignment of the prosthesis during gait. …

What's Going On Here? Deconstructing The Interactive Encounter., Janice P Burke

Department of Occupational Therapy Faculty Papers

Eleanor Clarke Sagle Lecture

Step Counts Of Non-White Minority Children And Youth By Gender, Grade Level, Race/Ethnicity, And Mode Of School Transportation, Tyler G. Johnson, Timothy A. Brusseau, Paul W. Darst, Pamela H. Kulinna, Janel White-Taylor

Kinesiology Faculty Publications and Presentations

Background: The purposes of this study were to describe and analyze the steps/d of nonwhite minority children and youth by gender, grade level, race/ethnicity, and mode of school transportation. A secondary purpose was to compare the steps/d of minority children and youth to their Caucasian grade-level counterparts. Methods: Participants were 547 minority youth grades 5 to 8 from 4 urban schools. Participants wore sealed pedometers for 6 consecutive week/school days. Three hundred and ten participants responded to a questionnaire concerning their mode of transportation to and from school. Results: Statistical analyses indicated a main effect for gender (F(3,546) …

A Qualitative Study Of Coping In Mothers Of Children With An Autism Spectrum Disorder, Heather Miller Kuhaneck, Tajhma Burroughs, Jamie Wright, Theresa Lemanczyk, Amy Rowntree Darragh

Occupational Therapy Faculty Publications

A significant body of research exists that explores the stressors of raising a child with an autism spectrum disorder (ASD). There are fewer studies, however, that examine specific effective coping strategies of mothers of children with an ASD. This qualitative study explored mothers’ perceptions of effective coping strategies for their parenting stressors. In-depth interviews were conducted with 11 mothers to inquire about their personal coping methods. Interviews were coded and emergent themes identified which included coping strategies such as “me time,” “planning,” “knowledge is power,” “sharing the load,” “lifting the restraints of labels,” and “recognizing the joys.” The information from …

Occupational Science: A Data-Based American Perspective, Doris Pierce, Karen Atler, Julie Baltisberger, Elaine Fehringer, Elizabeth Hunter, Somaya Malkawi, Twilla Parr

Occupational Science and Occupational Therapy Faculty and Staff Research

The purpose of this research was to provide a data-based picture of the discipline of occupational science by identifying patterns of research in the first 5 years of presentations at the Society for the Study of Occupation: USA (SSO:USA). A grounded theory approach was used to examine 184 peer-reviewed presentation abstracts, from 2002 to 2006. Among the 108 data-based presentations, adults were the most studied group, with 46% of the data-based abstracts focused on participants with a disability or clear disadvantage. Presenters’ research foci related to 4 themes: the personal experience of occupation, the context surrounding or impacting occupation, changes …

Ua10/1 Cec: Clinical Exchange Corner, Wku Suzanne Vitale Clinical Education Complex, Laura Reynolds

CEC Publications

No abstract provided.

Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, And Behaviors That Reflect Acute Care Practice, Sharon L. Gorman, Ellen Wruble Hakim, Wendy Johnson, Sujoy Bose, Katherine S. Harris, Molly H. Crist, Karen Holtgrefe, Jennifer M. Ryan, Michael S. Simpson, Jean Bryan Coe

Physical Therapy Faculty Research

Background and Purpose. Acute care physical therapists have experienced the effects of dramatic changes in health care reimbursement systems and population demographics. Acute care hospitals now serve a patient population of much older, chronically ill patients who are hospitalized for shorter periods of time in a practice environment in which physical therapy staffing resources are often inadequate. The purposes of this study were to document common experiences in the practice of acute care physical therapy and to identify differences in the perceptions of physical therapists with varying levels of experience and in various sizes of acute care facilities.

Subjects …

A Clincial Outcomes Commentary On "A Longitudinal Study Of Outcome Measures For Children Receiving Early Intervention Services", Marcia Levinson, Pt, Phd, Mft, Rosaleen Creedon Gnoffo, Pt, Ms, Dpt, Pcs

Department of Physical Therapy Faculty Papers

Pediatric physical therapy, especially in early intervention (EI), focuses on children’s function in natural environments and within daily routines. Valid and reliable tests measuring the ICF participation component are important to consider if we are to align our treatment focus and goals to our measures of progress. This article demonstrates that the Pediatric Evaluation of Disability Inventory (PEDI) Functional Skill scaled scores are sensitive to change in children receiving EI with and without motor involvement.

A Review Of Direct Access To Physical Therapy, Tiffany Basore

Honors Projects

No abstract provided.

Wilderness Beauty: A Means To Resolve Volitional Doubt, Brian T. Scalise

Liberty Theological Review

Doubt is often part of Christian spiritual life. Matured doubt will influence the will (the volition) so as to keep the Christian doubter from acting like a Christian or even desiring the Christian life. This essay seeks to construct a theory designed to engage and help resolve volitional doubt by use of wilderness beauty. This theory incorporates three areas of study—Land and Leisure Management, Abraham Maslow’s metamotivation theory, and Jonathan Edwards' aesthetic theology—to demonstrate the uniqueness and usefulness of wilderness beauty for resolving volitional doubt. Subsequent to the construction of the theory, practical suggestions for its application are given.

Employment Outcomes Among Individuals With Visual Impairments: The Role Of Client Satisfaction And Acceptance Of Vision Loss, Song-Jae Jo, Roy K. Chen, John F. Kosciulek

School of Rehabilitation Services & Counseling Faculty Publications

This study examined the relationship of client satisfaction with the vocational rehabilitation (VR) process and acceptance of vision loss with respect to employment outcomes among former VR clients with visual impairments. Participants were 128 clients of the Michigan Commission for the Blind (MCB) whose cases were closed between fiscal years 2003 and 2004. The results of a logistic regression analysis indicated that participants who reported higher levels of client satisfaction and who focused on their remaining assets (e.g., functions, abilities) after vision loss were more likely to be employed at the time of case closure than their counterparts who did …

Injury In Nevada, Michelle Chino, Jonathon Lavalley, Darlene R. Haff, Deborah A. Harris, Andrea R. Rivers

School of Public Health Faculty Research

Injury is a major threat to health and safety. In a typical day in the US, 400 people will die as the result of an injury, 7,500 will be hospitalized due to an injury, and more than 150,000 will suffer an injury severe enough to restrict activities and seek medical attention. Many of these deaths, hospitalizations, and disabling events will be the result of motor vehicle crashes. Others will result from vio­lence, falls, drowning, and poisoning – all of which are considered injuries.

The costs of injury are high. In the United States, the cost of injuries is estimated to …

Maintenance Of Activity And Eating Change After A Clinical Trial Of Tailored Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Patricia A. Hageman, Linda S. Boeckner, Melody A. Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge

Journal Articles: College of Nursing

BACKGROUND: In the Wellness for Women Project, a randomized-by-site 1-year controlled clinical trial, the efficacy of generic newsletters and newsletters tailored on Health Promotion Model behavior-specific cognitions, eating behavior, and activity behavior were compared among 225 women aged 50 to 69 years.

OBJECTIVES: The purpose of this study was to compare the maintenance of change in healthy eating and physical activity over the 12 months following the tailored versus generic mailed newsletter intervention.

METHODS: Outcomes at 18 and 24 months included behavioral markers and biomarkers of physical activity and eating. Data were analyzed using the multivariate approach to repeated measures …

Identifying Strategies Early Intervention Occupational Therapists Use To Teach Caregivers., Jessica L. Colyvas, L Brook Sawyer, Philippa H. Campbell

Department of Occupational Therapy Faculty Papers

This study investigated early intervention occupational therapists' use of strategies to teach caregivers. A sample of 40 videotapes made by early intervention occupational therapists was randomly selected from an archival videotape data set of provider home visits. The sample included 20 videotapes illustrating traditional services and 20 videotapes illustrating therapists providing participation-based services. Videotapes were rated using the Teaching Caregivers Scale, which rates three variables on 30-s intervals: (1) routine, (2) provider role, and (3) strategies used to teach caregivers during early intervention home visits. Regardless of the model of service, explicit teaching strategies were rarely used during home visits.